Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jingyuan Fan, DDS

Individual provider Periodontics · NPI 1952718629

Jingyuan Fan, DDS is a Periodontics in Downers Grove, Illinois. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3450 Lacey Rd
Downers Grove, IL 60515-2668
Phone: (630) 743-4967
Fax: (630) 743-4537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 000054 (NY)

Record details

NPI number1952718629
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESAugust 20, 2016

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